Brett Gillam, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017079 Issued in PA

Practice address

131 E McKinley St
Chambersburg, PA 17201-3522

Phone

(717) 247-1515

Fax

(717) 267-2316

NPI assigned

Aug 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1164613014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E MCKINLEY ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013522",
            "telephone_number": "717-247-1515",
            "fax_number": "717-267-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E MCKINLEY ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013522",
            "telephone_number": "717-247-1515",
            "fax_number": "717-267-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLAM",
        "first_name": "BRETT",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "23948",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017079",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW128639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Akmal Ghori, D.D.S.
• Gregory James Gibson, CRNP
• Bruhalem Faris Gichilla, MD
• Nicholas Gigax
• Ellen J.W. Gigliotti, LMFT
• Tiffany Celeste Gillette, CNM
• Kevin Gilmore, PT, DPT
• Sherry Lee Gipe, PHARMD
• Patricia A. Glasgow, RN
• Constance I Glass, MD

• Clinical Social Worker in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.